Bilateral Elongated Styloid Processes in Tonsillar Bed Present With Quinsy

El-Anwar MW and Abdulmageed A

Published on: 2019-12-26

Abstract

Case presentation: A 54 years old female presented with recurrent attacks of acute follicular tonsillitis [AFT] with right sided otalgia and odynophagia with history of twice right preitonsillar abscess drainage. After preitonsillar abscess drainage and proper medical treatment, the patient was advised for tonsillectomy. Following routine preoperative preparation and laboratory, patients was admitted for tonsillectomy under general aneasthesia. Intra-operatively, after tonsillectomy, vertical elongated hard structure was seen and felt in both tonsillar beds. Postoperatively, there was no bleeding, infection but otalgia persists. Computed tomography showed elongated medially directed both styloid processes that were seen to reach tonsillar beds. Patient refused further intervention for them.